The effect of impact direction on the fracture load of osteoporotic proximal femurs

Medical Engineering and Physics

Volumn 31, Issue 9, 2009, Pages 1134-1139

  Wakao, Norimitsu ^a   Harada, Atsushi ^b   Matsui, Yasumoto ^b   Takemura, Marie ^b   Shimokata, Hiroshi ^b   Mizuno, Masashi ^c   Ito, Masako ^d   Matsuyama, Yukihiro ^a   Ishiguro, Naoki ^a  

^a NAGOYA UNIVERSITY   (Japan)

^b NATIONAL CENTER FOR GERIATRICS AND GERONTOLOGY   (Japan)

^c Ichinomiya Municipal Hospital   (Japan)

^d NAGASAKI UNIVERSITY   (Japan)

Author keywords

Bone strength; Finite element; Fracture site; Hip fracture; Loading direction

Indexed keywords

BONE DENSITY; BONE FRACTURE; BONE STRENGTH; CT IMAGE; FE MODEL; FINITE ELEMENT; FINITE ELEMENT MODELS; FRACTURE GROUP; FRACTURE LOAD; GENERAL LINEAR MODELS; HEALTHY SUBJECTS; HIP FRACTURE; LOADING ANGLE; LOADING DIRECTION; OSTEOPOROTIC; PROXIMAL FEMUR;

BONE; COMPUTERIZED TOMOGRAPHY; FINITE ELEMENT METHOD; LOADING; POLYPROPYLENES;

FRACTURE;

AGE; AGED; ARTICLE; BONE DENSITY; BONE STRENGTH; BONE STRESS; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DUAL ENERGY X RAY ABSORPTIOMETRY; FALLING; FEMALE; FEMUR FRACTURE; FEMUR NECK FRACTURE; FEMUR TROCHANTERIC FRACTURE; FINITE ELEMENT ANALYSIS; FRAGILITY FRACTURE; HUMAN; MAJOR CLINICAL STUDY; OSTEOPOROSIS; PRIORITY JOURNAL; WEIGHT BEARING;

AGED; AGED, 80 AND OVER; ALGORITHMS; BIOMECHANICS; BONE DENSITY; FEMALE; FEMUR; FINITE ELEMENT ANALYSIS; FRACTURES, BONE; HUMANS; LINEAR MODELS; OSTEOPOROSIS; STRESS, MECHANICAL; WEIGHT-BEARING;

EID: 70350380478     PISSN: 13504533     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.medengphy.2009.07.010     Document Type: Article

References (37)

1. Gullberg B., Johnell O., and Kanis J.A. World-wide projections for hip fracture. Osteoporosis International 7 (1997) 407-413
2. Sakamoto K., Nakamura T., Hagino H., Endo N., Mori S., Muto Y., et al. Report on the Japanese Orthopedic Association's 3-year project observing hip fractures at fixed-point hospitals. Journal of Orthopaedic Science 11 (2006) 127-134
3. Cummings S.R., and Melton L.J. Epidemiology and outcomes of osteoporotic fractures. Lancet 359 (2002) 1761-1767
4. Marshall D., Johnell O., and Wedel H. Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. British Medical Journal 312 (1996) 1254-1259
5. Siris E.S., Chen Y.T., Abbott T.A., Barrett-Connor E., Miller P.D., Wehren L.E., et al. Bone mineral density thresholds for pharmacological intervention to prevent fractures. Archives of Internal Medicine 164 (2004) 1108-1112
6. Lotz J.C., and Hayes W.C. The use of quantitative computed tomography to estimate risk of fracture of the hip from falls. The Journal of Bone and Joint Surgery 72-A (1990) 689-700
7. Courtney A.C., Wachtel E.F., Myers E.R., and Hayes W.C. Age-related reductions in the strength of the femur tested in a fall-loading configuration. The Journal of Bone and Joint Surgery 77-A (1995) 387-395
8. Courtney A.C., Wachtel E.F., Myers E.R., and Hayes W.C. Effects of loading rate on strength of the proximal femur. Calcified Tissue International 55 (1994) 53-58
9. Pinilla T.P., Broadman K.C., Bouxsein M.L., Myers E.R., and Hayes W.C. Impact direction from a fall influences the failure load of the proximal femur as much as age-related bone loss. Calcified Tissue International 58 (1996) 231-235
10. Ford C.M., Keaveny T.M., and Hayes W.C. The effect of impact direction on the structural capacity of the proximal femur during falls. Journal of Bone and Mineral Research 11 (1996) 377-383
11. Keyak J.H., Skinner H.B., and Fleming J.A. Effect of force direction on femoral fracture load for two types of loading conditions. Journal of Orthopaedic Research 19 (2001) 539-544
12. Bessho M., Ohnishi I., Matsuyama J., Matsumoto T., Imai K., and Nakamura K. Prediction of strength and strain of the proximal femur by a CT-based finite element method. Journal of Biomechanics 40 (2007) 1745-1753
13. Imai K., Ohnishi I., Bessho M., and Nakamura K. Nonlinear finite element model predicts vertebral bone strength and fracture site. Spine 31 (2006) 1789-1794
14. Keyak J.H., Rossi S.A., Jones K.A., and Skinner H.B. Prediction of femoral fracture load using automated finite element modeling. Journal of Biomechanics 3 (1998) 125-133
15. Keyak J.H., Rossi S.A., Jones K.A., Les C.M., and Skinner H.B. Prediction of fracture location in the proximal femur using finite element models. Medical Engineering and Physics 23 (2001) 657-664
16. Lotz J.C., Gerhart T.N., and Hayes W.C. Fracture prediction for the proximal femur using finite element models: part-I-linear analysis. Journal of Biomechanical Engineering 113 (1991) 353-360
17. Lotz J.C., Cheal E.J., and Hayes W.C. Fracture prediction for the proxima femur using finite element models: part-II-non-linear analysis. Journal of Biomechanical Engineering 113 (1991) 361-365
18. Michelson J.D., Myers A., Jinnah R., Cox Q., and Natta M.V. Epidemiology of hip fractures among the elderly. Clinical Orthopaedics and Related Research 311 (1995) 129-135
19. Dougherty G., and Newman D. Measurement of thickness and density of thin structures by computed tomography: a simulation study. Medical Physics 26 (1999) 1341-1348
20. Prevrhal S., Engelke K., and Kalender W.A. Accuracy limits for the determination of cortical width and density: the influence of object size and CT imaging parameters. Physics in Medicine and Biology 44 (1999) 751-764
21. Keller T.S. Predicting the compressive mechanical behavior of bone. Journal of Biomechanics 27 (1994) 1159-1168
22. Reilly D.T., and Burstein A.H. The elastic and ultimate properties of compact bone tissue. Journal of Biomechanics 8 (1975) 393-405
23. Bayraktar H.H., Morgan E.F., Niebur G.L., Morris G.E., Wong E.K., and Keaveny T.M. Comparison of the elastic and yield properties of human femoral trabecular and cortical bone tissue. Journal of Biomechanics 37 (2004) 27-35
24. McCalden R.W., McGeough J.A., Barker M.B., and Court-Brouwn C.M. Age-related changes in the tensile properties of cortical bone. The relative importance of changes in porosity, mineralization, and microstructure. The Journal of Bone and Joint Surgery 75-A (1993) 1193-1205
25. Gomez-Benito M.J., Garcia-Azner J.M., and Doblare M. Finite element prediction of proximal femoral fracture pattern under different loads. Journal of Biomechanical Engineering 127 (2005) 9-14
26. Rohl L., Larsen E., Linde F., Odgaard A., and Jorgensen J. Tensile and compressive properties of cancellous bone. Journal of Biomechanics 24 (1991) 1143-1149
27. Kaneko T.S., Pejcic M.R., Tehranzadeh J., and Keyak J.H. Relationships between material properties and CT scan data of cortical bone with and without metastatic lesions. Medical Engineering and Physics 25 (2003) 445-454
28. Keaveny T.M., Wachtel E.F., and Ford C.M. Differences between the tensile and compressive strengths of bovine tibial trabecular bone depend on modulus. Journal of Biomechanics 27 (1994) 1137-1146
29. Drucker D.C., and Prager W. Soil mechanics and plastic analysis of limit design. Quarterly of Applied Mathematics 10 (1952) 157-165
30. Owen D.R.J., and Hinton E. Finite elements in plasticity: theory and practice. In: Owen D.R.J. (Ed). Elasto-plastic problems in two dimensions (1980), Pineridge Press Limited, Swansea, UK 215-231
31. Kupfer H.B., and Gerstle K.H. Behavior of concrete under biaxial stresses. Journal of Engineering Mechanics Division ASCE 99 (1973) 853-866
32. Keyak J.H., and Falkinstein Y. Comparison of in situ and in vitro CT scan-based finite element model predictions of proximal femoral fracture load. Medical Engineering and Physics 25 (2003) 781-787
33. Majumder S., Roychowdhury A., and Pal S. Simulation of hip fracture in sideways fall using a 3D finite element model of pelvis-femur-soft tissue complex with simplified representation of whole body. Medical Engineering and Physics 2007 29 (2006) 1167-1179
34. Robinovitch S.N., Hayes W.C., and Mcmahon T.A. Energy-shunting hip padding system attenuates femoral impact force in a simulated fall. Journal of Biomechanical Engineering 117 (1995) 409-413
35. Harada A., Mizuno M., Takemura M., Tokuda H., Okuizumi H., and Niino N. Hip fracture prevention trial using hip protectors in Japanese nursing homes. Osteoporosis International 12 (2001) 215-221
36. Eckstein F., Wunderer C., Boehm H., Kuhn V., Priemel M., Link T.M., et al. Reproducibility and side differences of mechanical tests for determining the structural strength of the proximal femur. Journal of Bone and Mineral Research 19 (2004) 379-385
37. Hall M.L., Heavens V., and Ell P.J. Variation between femurs as measured by dual X-ray absorptiometry (DEXA). European Journal of Nuclear Medicine 18 (1991) 38-40